Management of Inner Nasal Valve Insufficiency

Kantas, I; Balatsouras, DG; Vafiadis, M; Apostolidou, MT; Korres, S; Danielidis, V

dc.contributor.author	Kantas, I	en
dc.contributor.author	Balatsouras, DG	en
dc.contributor.author	Vafiadis, M	en
dc.contributor.author	Apostolidou, MT	en
dc.contributor.author	Korres, S	en
dc.contributor.author	Danielidis, V	en
dc.date.accessioned	2014-03-01T01:57:27Z
dc.date.available	2014-03-01T01:57:27Z
dc.date.issued	2008	en
dc.identifier.issn	1916-0216	en
dc.identifier.uri	https://dspace.lib.ntua.gr/xmlui/handle/123456789/28422
dc.subject	nasal breathing	en
dc.subject	nasal obstruction	en
dc.subject	nasal surgery	en
dc.subject	nasal valve	en
dc.subject	septoplasty	en
dc.title	Management of Inner Nasal Valve Insufficiency	en
heal.type	journalArticle	en
heal.language	English	en
heal.publicationDate	2008	en
heal.abstract	Objective: To determine the efficacy of the upper lateral caudal edge management in treating patients with inner nasal valve insufficiency and collapse. Design: This was a prospective study in a group of patients suffering from nasal obstruction owing to nasal valve insufficiency. Forty-three patients, who had undergone septoplasty and inferior turbinectomy, were included. All patients presented with nasal obstruction resulting in persistent functional problems. An anatomically narrow nasal valve, valve collapse, or both were found during the clinical examination. Setting: A tertiary referral centre. Methods: Revision was undertaken using a new technique to restore the nasal valve, based on upper lateral caudal edge management. Main Outcome Measures: Improvement in nasal airway patency evidenced by patient questioning, by clinical inspection of the nose, and by rhinomanometric results. Results: None of the patients had major complications. In 28 (65.1%) patients, symmetrically improved nasal airway patency and elimination of the subjective sensation of inspiratory collapse was found. In 12 (27.9%) patients, a remarkable asymmetric improvement in nasal obstruction was evident. Two (4.6%) patients reported a moderate breathing improvement, and in only one (2.3%) patient, revision was needed. The mean follow-up time was 18 months. Conclusions: Our proposed method is an effective therapeutic approach in the management of inner nasal valve insufficiency. It reconstitutes the normal tension of the inner nasal valve and reestablishes the stiffness and resistance of the lateral nasal wall. It can be performed under local anesthesia in cooperative patients, with minimal morbidity and a high rate of success.	en
heal.publisher	B C DECKER INC	en
heal.journalName	JOURNAL OF OTOLARYNGOLOGY-HEAD & NECK SURGERY	en
dc.identifier.isi	ISI:000207462800025	en
dc.identifier.volume	37	en
dc.identifier.issue	2	en
dc.identifier.spage	212	en
dc.identifier.epage	218	en